Individual
SAM MAIOCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
12902 USF MAGNOLIA DR, TAMPA, FL 33612-9416
(727) 433-3557
Mailing address
PO BOX 198441, ATLANTA, GA 30384-8441
(813) 745-7365
(813) 449-8618
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
AA1069
FL
Other
Enumeration date
06/28/2025
Last updated
07/24/2025
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